Active NPIIndividual providerSole proprietor

Ms. Stephanie E Boosahda, LPN

Licensed Practical Nurse in South Yarmouth, Massachusetts

NPI Number1275065047
Practice location
654 Willow St, Bass River, South Yarmouth, MA 02664-5636
Fax
—
Last updated
March 31, 2017

Stephanie Ellen Boosahda is a Licensed Practical Nurse based in South Yarmouth, MA. Stephanie Ellen Boosahda practices in South Yarmouth, MA and has the professional credentials of LPN. The NPI Number for Stephanie Ellen Boosahda is 1275065047 and holds a License No. LPN57523 (MA). The current practice location address for Stephanie Ellen Boosahda is 654 Willow St, Bass River, South Yarmouth, MA 02664-5636 and can be reached out via phone at 508-360-6227.

Provider Profile Details

NPI Number
1275065047
Provider Name
Stephanie Ellen Boosahda
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
654 Willow St, Bass River, South Yarmouth, MA 02664-5636
Phone Number
508-360-6227
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 31, 2017
Last Update Date
March 31, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
654 Willow St
Bass River
South Yarmouth, MA 02664-5636
Zip
02664-5636
Phone Number
508-360-6227
South Yarmouth, MA 02664Get directions →

Provider Business Mailing Address Details

Address
654 Willow St
Bass River
South Yarmouth, MA 02664-5636
City
South Yarmouth
State
MA
Zip
02664-5636
Phone Number
508-360-6227

License Information

License Number
LPN57523
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Stephanie E Boosahda, LPN?

The NPI number of Ms. Stephanie E Boosahda, LPN is 1275065047. It was assigned on March 31, 2017 and is currently active in the NPPES registry.

What is the specialty of Ms. Stephanie E Boosahda, LPN?

Ms. Stephanie E Boosahda, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LPN57523.

Where does Ms. Stephanie E Boosahda, LPN practice?

The practice location is 654 Willow St, Bass River, South Yarmouth, MA 02664-5636. The office can be reached at 508-360-6227 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275065047 directly on the NPPES registry website.

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